MARION PEDIATRIC CLINIC SC (NPI# 1154642411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154642411 |
| Entity Type | Organization |
| Organization Name | MARION PEDIATRIC CLINIC SC |
| Practice Address |
3331 W Deyoung St Ste 207 Marion IL 62959-5897 |
| Practice Telephone | 6189935274 |
| Practice Fax Number | 6189930639 |
| Mailing Telephone | 6189935274 |
| Mailing Fax Number | 6189930639 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |
| Authorized Official Name | LUIS A LOPEZ (PRESIDENT) |
| Authorized Official Telephone | 6189935274 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036103701 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3331 W DEYOUNG ST STE 207 |
| City | MARION |
| State | IL |
| Zip Code | 62959-5897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841864 | Collins Wellness Center, LLC | Pediatrics | 642 10th St Ste 102, Marion, IA 52302-3446 | 2018-11-30 |
| 1578009114 | Charles W Bemm | Pediatrics | 3783 E State Road 18, Marion, IN 46952-8768 | 2017-01-06 |
| 1306012042 | Mcdowell Hospital | Pediatrics | 387 Us Highway 70 West, Suite 1, Marion, NC 28752 | 2008-05-02 |
| 1922291962 | The Children's Clinic of Marion | Pediatrics | 1225 W Henderson St, Marion, NC 28752-4807 | 2007-08-23 |
| 1003016700 | Alissa Michelle Grant | Pediatrics | 100 Meadowbrook Cir, Marion, AR 72364-2345 | 2007-07-20 |
| 1417002098 | Sadashivaiah Bhaskar | Pediatrics | 3412 Office Park Dr, Marion, IL 62959-6477 | 2007-01-24 |
| 1649384892 | Pradeep Gopala Reddy | Pediatrics | 3412 Office Park Drive, Marion, IL 62959-1998 | 2006-08-17 |
| 1265489223 | Karen R. Olson | Pediatrics | 387 Us 70 W, Marion, NC 28752-6202 | 2006-05-27 |
| 1144275967 | Marilyn R Hunter | Pediatrics | 1411 W Bella Dr, Marion, IN 46953-5250 | 2006-05-23 |
| 1154371474 | Amy Jo Harden | Pediatrics | 1204 N Main St, Marion, VA 24354-4312 | 2006-05-10 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.